Important Notice: No personal or contact information from this application will be shared with anyone outside of Phichas Siberians, unless specific permission is granted by you!    

Our Application is in no way meant to offend or intrude; it is merely a way to ensure our puppies go to a well suited home!

This application does NOT guarantee you a puppy, It is just a tool we use to screen our potential  new owners.

Thank you for understanding!

YOU WILL AGREE TO HAVE THIS PUPPY SPAYED OR NEUTERED WITHIN 7 MONTHS OF AGE UNLESS OTHER ARRANGEMENTS HAVE BEEN AGREED TO BY BOTH PARTIES.        

 By sending this application, if you are chosen to be a new puppy owner, you agree that if for ANY reason you cannot train, contain or control your puppy/dog, you will return the pup to us at no cost to us so WE can find a suitable new ‘Forever Home’ for the pup/dog.

If for some unforeseen reason the above ‘Puppy Application’ does not load,

please contact us to have one E-Mailed or Faxed to you.

 

You can also Copy & Paste the Application below into a new email and send it to us this way.

Date:_________________

 

CONTACT INFORMATION:

Name:	Home Phone:
Street Address:	Work Phone:
City:                                                     State:         Zip:	Cell Phone:
Email:	Best time to call:

 

Occupation/School/Military: ______________

Yes   No

 ð ð   Are you over 21 yrs of age? If not what is your age?______

HOUSING/LANDLORD INFORMATION:

Yes   No

 ð ð Do you own your home?

 ð ð If you rent/lease, do you have your landlord’s permission to keep a dog?

If you rent/lease, please give landlords information (name, address, phone number):

_________________________________________________________________________________________

Do you live in a house, apartment, condo, other?  _____________________

How long have you lived at this address?      Years _____ Months _______

FENCE/YARD/CRATE INFORMATION:

Yes   No

 ð ð Do you have a completely fenced in yard suitable for a dog?

 ð ð Have you ever considered using a crate as a training method?

 ð ð Do you have a kennel run?      Describe dimensions:

______X______

Describe yard size, fence type, and fence height:

______________________________________

HOUSEHOLD INFORMATION:

How many adults live in the household? ________

How many children live in the household? _______

Names & ages of all family members _________________________________________________

Are any family members allergic to animals? _______

(If yes, what kind of animals?)

________________________________________

Who will take primary care of your Husky? ___________

Where do you plan on keeping your Siberian Husky primarily?

__________________________________

On average, how many hours a day will your Husky be left alone? ________

How would you describe your lifestyle?

ð Active     ð Very Active     ð Homebody

VETERINARIAN INFORMATION:

Do you currently have a veterinarian?   Yes ð No ð

Name of clinic:______________________________

Address and phone # of clinic:

___________________________________

If you do not currently have a vet, please provide for us the name, address & phone number of the last vet you have used.

(REQUIRED)

___________________________________________

Do you have any issues with us contacting your Vet? Yes ð No ð

If yes, Why?________________________________________________

 

FEEDING:

Do you have a problem feeding this puppy steak, chicken or other protein laden foods as is needed by a Siberian? (no bones except Beef)?_______

 

OTHER ANIMAL INFORMATION:

Yes   No

 ð ð Will this be your first pure bred dog?

 ð ð Do you plan on breeding this Siberian Husky? (Requires an additional fee & application for FULL registration)

 ð ð Have you ever taken an animal to the pound or a shelter? If yes, please explain__________________________

___________________________________________________________________________________________________

 ð ð Do you own other dogs?

 (If yes, list name, breed, gender, age and size of other dogs)

__________________________________

__________________________________

If so, are these dog/s spayed or neutered?_______

What other animals do you own (i.e. cat, reptile, bird)?

__________________________________

How many dogs have you owned in the last 5 years? _________

If you no longer have these animals, described what happened to them:

___________________________________

Have you ever returned a dog to the breeder?

If so please describe the circumstances:

____________________________________

SIBERIAN HUSKY INFORMATION:

Why did you choose this breed of dog?

_____________________________________

Do you know the history of the Siberian Husky?     Yesð Noð

Describe your knowledge of the Siberian Husky Breed:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What kinds of activities do you plan on doing with your Siberian (i.e. jogging, sledding, showing, racing, hiking, camping, family outings)?

 

_______________________________________

 

(Although we do NOT breed for eye or coat color we would like to know your preferences)

SIBERIAN HUSKY DESIRED PREFERENCES:

Eyes: ________________________________2nd Choice_____________________

Coloring: _____________________________2nd Choice_____________________

Markings: ____________________________2nd Choice_____________________

Sex:   M ð   F ð

Which specific litter are you most interested in?_________________

If the litter is already born, which specific puppy are you most interested in?_______________

Any other preferences?

__________________________________

OTHER INFORMATION:

How did you find PhiChas Siberians (referral, website, ad: which one)? __________________

 

Are you a member of any networking website? i.e. MySpace, FaceBook, Twitter….etc._________________________

 

Help us to know you better, tell us about you:

___________________________________________________________________________________________________

___________________________________________________________________________________________________

 

 

The purpose of our puppy application is to carefully screen families/individuals that apply.

We review (and verify) all applicants for their living conditions, breed ‘type’ they are applying for (Companion, Show, Therapy, Sledding/Racing), their ability to thoroughly care for the puppy/adult, the financial means to be responsible for the pup/adult and the capability to ensure a quality life for their new family member for the entire span of their existence!

 

PLEASE THINK OF HOW YOUR LIFESTYLE COULD CHANGE!

A SIBERIAN HUSKY’S LIFE SPAN IS APPROXIMATELY 12 TO 15 YEARS.

DO NOT SEND US THIS APPLICATION UNLESS YOU INTEND TO INCLUDE THE PUPPY, AS PART OF YOUR FAMILY,

 FOR THE ENTIRE SPAN OF HIS/HER LIFE!

 

By sending us this application, you understand that if for ANY reason you cannot train, contain, control or maintain a PhiChas Siberian Husky puppy/dog, you will return him/her to PhiChas Siberians (AT NO COST TO PHICHAS SIBERIANS) as soon as possible so a suitable home can be found for the puppy/dog BY PhiChas Siberians.

Please understand, our Sibes are not just pets/companions to us….

they are our children……..which makes their children OUR grandkids!

 

If this application is not filled out COMPLETELY it will it will NOT be reviewed!

We do not open junk mail…

we will not be responsible for any e-mail that may go to our junk folder!

If you have ANY questions,

please ask before filling

out the puppy application.